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      Orthodontic Management of Congenitally Missing Maxillary Lateral Incisors: A Case Report

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          Abstract

          This case report describes the orthodontic treatment of a woman, aged 15 years, with permanent dentition, brachyfacial typology, with congenitally missing maxillary lateral incisors. Multibracket straightwire fixed appliance was used to open the space for dental implant placement, and treat the impaired occlusion. The missing lateral incisors were substituted with oral implants.

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          Most cited references16

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          Oral parafunctions as risk factors for diagnostic TMD subgroups.

          The frequency of diurnal clenching and/or grinding and nail-biting habits was assessed in patients affected by temporomandibular disorders (TMDs) and in healthy controls in order to investigate the possible association between these oral parafunctions and different diagnostic subgroups of TMDs. The case group included 557 patients (127 men, mean age +/- SD = 34.5 +/- 15.4 years; 430 women, mean age +/- SD = 32.9 +/- 14.1 years) affected by myofascial pain or disc displacement or arthralgia/arthritis/arthrosis. The control group included 111 healthy subjects (55 men, mean age +/- SD = 37 +/- 15.2 years; 56 women, mean age +/- SD = 38.2 +/- 13.8 years). Multinomial logistic regression analysis was used to assess the association between oral parafunctions and TMDs, after adjusting for age and gender. Daytime clenching/grinding was a significant risk factor for myofascial pain (odds ratio (OR) = 4.9, 95% confidence interval (CI): 3.0-7.8) and for disc displacement (OR = 2.5, 95% CI: 1.4-4.3), nail biting was not associated to any of the subgroups investigated. Female gender was a significant risk factor for myofascial pain (OR = 3.8; 95% CI: 2.4-6.1), whereas the risk factor for developing disc displacement decreased with ageing. No association was found between gender, age and arthralgia/arthritis/arthrosis.
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            Efficacy of the Sander bite-jumping appliance in growing patients with mandibular retrusion: a randomized controlled trial.

            The efficacy of functional appliances remains highly debated. This randomized controlled trial investigated the skeletal and dentoalveolar effects determined by the Sander bite-jumping appliance (BJA). The null hypothesis to be tested was that the appliance would not induce supplementary mandibular growth compared to untreated controls. This study was carried out at the Section of Orthodontics, University of Naples Federico II, Italy. Forty-six patients receiving a clinical diagnosis of skeletal and dental class II due to mandibular retrusion were either allocated to a treatment (23 patients;15 boys, 8 girls; mean age ± SD: 10.9 ± 1.3 years) or to an untreated control group (23 patients;11 boys, 12 girls; mean age ± SD: 10.5 ± 1.2 years), by using a balanced block randomization. Lateral cephalograms were taken before and after treatment and used for comparisons. Measurements were analyzed by descriptive statistics, univariate and multivariate statistical tests. Treated individuals had a significant increase in mandibular length (6.4 ± 2.3 vs. 3.5 ± 2.5 mm; p < 0.001), overjet reduction (-5.0 ± 2.9 vs. 0.3 ± 1.2 mm; p < 0.001) and molar relationship improvement (-5.3 ± 2.4 vs. 0.1 ± 1.1 mm; p < 0.001) compared to controls. The use of the appliance did not significantly affect jaw divergence. Proclination of lower incisors was slightly greater (3.0°, p = 0.023) in treated patients than in controls. The increase in mandibular length was not significantly influenced by cervical stage (p = 0.40). The BJA can effectively correct class II malocclusions by a combination of dentoalveolar and skeletal effects. The long-term stability of the correction needs to be evaluated. © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.
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              The space-closure alternative for missing maxillary lateral incisors: an update.

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                Author and article information

                Journal
                Case Rep Dent
                Case Rep Dent
                CRID
                Case Reports in Dentistry
                Hindawi Publishing Corporation
                2090-6447
                2090-6455
                2014
                9 March 2014
                : 2014
                : 731074
                Affiliations
                1Department of the Health, University “Magna Graecia” Catanzaro, Viale Europa, Località Germaneto, 88100 Catanzaro, Italy
                2Department of Neuroscience, Section of Orthodontics, University of Naples Federico II, Via Pansini 5, 80131 Naples, Italy
                3Private Practice, Palomonte, 84020 Salerno, Italy
                Author notes
                *Sergio Paduano: paduano@ 123456unicz.it

                Academic Editors: P. Lopez Jornet, L. J. Oesterle, and E. F. Wright

                Author information
                http://orcid.org/0000-0001-9088-2606
                http://orcid.org/0000-0002-9708-6765
                http://orcid.org/0000-0002-5002-6247
                Article
                10.1155/2014/731074
                3970084
                f3b36d34-5a7b-4e05-bc89-ead9d16cb9ea
                Copyright © 2014 Sergio Paduano et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 December 2013
                : 29 January 2014
                Categories
                Case Report

                Dentistry
                Dentistry

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